The impact of maternal age on fetal death: does length of gestation matter?

Haavaldsen, Camilla; Sarfraz, Aahshi; Samuelsen, Sven Ove; Eskild, Anne

doi:10.1016/j.ajog.2010.07.014

Cited by 35 publications

(22 citation statements)

References 133 publications

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“…The risks may include hypertension (high blood pressure), hemorrhage (loss of blood), miscarriage and gestational diabetes (diabetes during pregnancy) for the woman and congenital anomalies (birth defects) for the child. [37][38] This finding is in line with study by Ardhikari and Sawangdee, 9 Joshua and Van Ginneken, 21 and Prameswari. 22 Short birth interval may reduce mothers' recovery time leading to adverse perinatal outcomes.…”

Section: Discussionsupporting

confidence: 88%

Impact of Women’s Empowerment on Infant Mortality in Indonesia

Stiyaningsih¹,

Wicaksono²

2017

Kesmas: National Public Health Journal

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Women's autonomy and empowerment has generally been recognized as one of most important factors of development. A lack of autonomy and empowerment may lead to negative outcomes on child health and mortality. Yet no study to-date has analyzed links between women's empowerment and infant mortality in Indonesia. This study tried to fill this gap to investigate the effect of women's empowerment on infant mortality in Indonesia. Sample of 9,754 women aged 15-49 years who had their last childbirth in period 2007-2012 were drawn from 2012 Indonesia Demographic and Health Survey. Composite index was considered to measure women's empowerment. Eight indicators were considered to measure three dimensions of women's empowerment, namely participation in economic decision-making, participation in health decision-making, and autonomy in mobility. Furthermore, the binary logistic model had been specified and estimated to investigate the effect of women's empowerment on infant mortality. Results showed that women who were more empowered were significantly less likely to experience infant mortality. This highlights the importance of women's empowerment in efforts to reduce infant mortality.Keywords: Demographic health survey, infant mortality, women's empowerment Abstrak Secara umum, otonomi dan pemberdayaan perempuan menjadi salah satu faktor penting dalam pembangunan. Kurangnya otonomi dan pemberdayaan perempuan dapat menyebabkan hasil negatif pada kesehatan dan kematian anak. Belum terdapat penelitian terkini yang menganalisis hubungan antara pemberdayaan perempuan dan kematian bayi di Indonesia. Penelitian ini berusaha mengisi kekosongan tersebut dengan menelusuri pengaruh pemberdayaan perempuan terhadap kematian bayi di Indonesia. Sampel berjumlah 9.754 perempuan berusia 15-49 tahun yang terakhir melahirkan pada periode tahun 2007-2012 diambil dari Survei Demografi dan Kesehatan Indonesia 2012. Pemberdayaan perempuan diukur dengan menggunakan indeks komposit yang dibangun dari delapan indikator dari tiga dimensi pemberdayaan perempuan, yaitu partisipasi dalam pengambilan keputusan di bidang ekonomi, partisipasi dalam pengambilan keputusan di bidang kesehatan, dan kebebasan untuk berpindah. Selanjutnya, estimasi dampak pemberdayaan perempuan pada kematian bayi menggunakan model regresi logistik. Hasil penelitian menunjukkan bahwa perempuan dengan tingkat pemberdayaan yang lebih baik akan memiliki peluang yang lebih rendah untuk mengalami kejadian kematian bayi. Hal ini menekankan pentingnya pemberdayaan perempuan untuk mengurangi kematian bayi.Kata kunci: Survei demografi kesehatan, kematian bayi, pemberdayaan perempuan

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Section: Discussionsupporting

confidence: 88%

Impact of Women’s Empowerment on Infant Mortality in Indonesia

Stiyaningsih¹,

Wicaksono²

2017

Kesmas: National Public Health Journal

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“…The association has been recognised especially in women 40 years and older [28,29]. In the present study the association between AMA and foetal death was also found, but the increase in the foetal death rates seemed to be more evident when exploring the relationship between overweight/obesity in AMA women and pregnancy outcomes (Table 4) than the relationship between AMA and pregnancy outcomes (Table 6) suggesting that the impact of overweight and obesity in AMA women on foetal death rates is more significant than the impact of AMA itself.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy outcomes of overweight and obese women aged 35 years or older – A registry-based study in Finland

Lamminpää

Vehviläinen‐Julkunen

Gissler

et al. 2016

Obesity Research & Clinical Practice

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SummaryObjective: To compare pregnancy outcomes of overweight and obese pregnant women aged 35 years or older to women aged less than 35 years old. Methods: A registry-based study covering years 2004-2008 including data on women ≥35 years (N = 45,718) compared to those <35 years (N = 203,930) and their prepregnancy body mass index (BMI) (<25, 25-29 and ≥30). In multivariable modelling, the main outcome measures were preterm delivery (<28 weeks, 28-31weeks and 32-36 weeks), low Apgar scores at 5 min, small-for-gestational age (SGA), foetal death, asphyxia, Caesarean section, induction, preeclampsia, blood transfusion, admission to a neonatal intensive care unit (NICU), shoulder dystocia, and large for gestational age (LGA). Results: Maternal overweight and obesity along with advanced maternal age (AMA) significantly increased the risks of preterm delivery, preeclampsia, foetal death, LGA and Caesarean as compared to women of average weight aged <35 years. When comparing overweight and obese women aged ≥35 years to normal weight women * Corresponding author. Tel.: +358 503816972. E-mail address: reeta.lampinen@uef.fi (R. Lamminpää). of the same age, the rates of preeclampsia, preterm delivery <28 weeks, LGA and low Apgar score were significantly increased. When observing overweight and obese women <35 years as a reference group, the risks of preterm delivery and foetal death were significantly increased. Conclusions: The risks were increased by maternal age ≥ 35 years and both obesity and overweight. The combined effect of AMA and either overweight or obesity appeared to be a high risk state particularly for stillbirth and preterm delivery.

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“…19,20 Maternal age was categorised as £19, 20-24, 25-29, 30-34, 35-39 and ‡40 years at delivery. Parity was defined as the number of previous deliveries after 16 weeks of gestation, and categorised as 0, 1, 2, 3 and ‡4 deliveries.…”

Section: Study Factorsmentioning

confidence: 99%

Hypertensive disorders in pregnancy and fetal death at different gestational lengths: a population study of 2 121 371 pregnancies

Ahmad

Samuelsen

2012

BJOG

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Objective To compare the proportion of offspring that was stillborn in pregnancies with pre-eclampsia, gestational hypertension or chronic hypertension with those in normotensive pregnancies.Design Register-based observational study.Setting The Medical Birth Registry of Norway.Population All singleton births after 20 completed weeks of gestation in Norway from 1967 to 2006 (n = 2 121 371).Methods The proportion of stillborn offspring was estimated in normotensive pregnancies, and in pregnancies with pre-eclampsia, gestational and chronic hypertension at different gestational lengths. In addition, changes in the proportions of stillborn offspring by maternal hypertensive disorder from 1967-1986 to 1987-2006 were estimated. Main outcome measures Fetal death.Results The prevalence of hypertensive disorders in pregnancy was 4.7%. In total, 17 933 fetal deaths occurred and 9.2% of these were in hypertensive pregnancies. In normotensive pregnancies, 0.8% (16 290/2 022 400) experienced fetal death. This was true for 1.9% (1170/62 261) of the pregnancies with pre-eclampsia, 1.2% (390/32 068) with gestational hypertension and 1.8% (83/ 4642) with chronic hypertension. There was a 44% overall reduction in fetal death rate from 1967-1986 to 1987-2006. The largest decline was in women with pre-eclampsia (80% reduction). In women with gestational hypertension and chronic hypertension, the overall reductions in fetal death rates were 49% and 57%, respectively, comparable with the 41% decline in normotensive pregnancies.Conclusions In our nationwide study during 1967-2006, the risk of fetal death among women with hypertensive disorders in pregnancy has been greatly reduced, especially among preeclamptic women at term. The risk of fetal death among women with gestational or chronic hypertension has also decreased, but in a different manner.

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The impact of maternal age on fetal death: does length of gestation matter?

Abstract: Women 40 years old or older had the highest risk of fetal death throughout pregnancy, particularly in term and postterm pregnancies. Improved obstetric care may explain the attenuation of risk associated with age in recent time.

Cited by 35 publications

References 133 publications

Impact of Women’s Empowerment on Infant Mortality in Indonesia

Impact of Women’s Empowerment on Infant Mortality in Indonesia

Pregnancy outcomes of overweight and obese women aged 35 years or older – A registry-based study in Finland

Hypertensive disorders in pregnancy and fetal death at different gestational lengths: a population study of 2 121 371 pregnancies

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